Individual
DR. TERRY ELLEN RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA DO
Contact information
Practice address
100 WAILEA IKE DR UNIT 7, WAILEA, HI 96753-9514
(808) 868-3888
(808) 868-3003
Mailing address
100 WAILEA IKE DR UNIT 7, WAILEA, HI 96753-9514
(808) 868-3888
(808) 868-3888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A9243
CA
Other
Enumeration date
06/16/2008
Last updated
03/29/2023
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